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Online ISSN 1827-1847
ENDOVENOUS TREATMENT OF VARICOSE VEINS
Moore H. M., Williams K. J., Onida S., Davies A. H.
Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College School of Medicine, Charing Cross Hospital, London, UK
The present work discusses the recent developments in the treatment of deep venous disease and the future perspectives in the therapeutic approach. Chronic venous disease is common and presents a significant cost in healthcare. The new technologies available for its successful management include endothermal ablation, and tumescent free mechanochemical technologies. Conservative treatments for chronic deep venous insufficiency are limited to leg elevation, weight reduction, walking, exercise and physiotherapy, all of which serve to improve venous return and reduce venous hypertension, whereas future management of deep venous reflux lies in the development of a valve stent device that can be implanted into the deep venous system by a minimally-invasive percutaneous method; the focus must be the development of a non-thrombogenic, biocompatible, hemocompatible, flexible, non-fatigueable material with a valve design that minimises zones of stasis, flow turbulence and shear stress.